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South Carolina rates for HCPCS G0480

Drug Test(S) Definitive Utilizing (1) Drug Identification Methods Able To Identify Individualdrugs And Distinguish Between Structural Isomers Including But Not Limited To Gc/Ms And Lc/Ms (2) Stable Isotope Or Other Universally Recognized Internal Standards In All Samples And (3) Method Or Drug-Specific Calibration And Matrix-Matched Quality Control Material; Qualitative Or Quantita-Tive Includes Specimen Validity Testing Per Day;1-7 Drug Class(Es) Including Metabolites(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.05 / $241.80 / $456.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $80.09 / $95.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.59 / $180.70 / $704.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $114.43 / $156.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.36 / $331.73 / $652.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $60.16 / $149.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.94 / $94.98 / $147.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.94 / $79.94 / $79.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.94 / $62.94 / $90.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $62.94 / $119.91